Individual
MR. MYRON JON BURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA, LADAC
Contact information
Practice address
1501 CERRILLOS RD, SANTA FE, NM 87505-3521
(602) 565-1656
(505) 212-0576
Mailing address
1501 CERRILLOS RD, SANTA FE, NM 87505-3521
(602) 565-1656
(505) 212-0576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0151611
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0218661
NM
Other
Enumeration date
08/22/2019
Last updated
09/15/2021
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